25-8426_Form_4_Local_Vendor_Preference_Certification.pdf
PDF 190 KB Posted
- Attached to
- Collection Agency Services
- Solicitation number
- 25-8426
- Issued by
- Collier County, Florida
About this file
This is a Local Vendor Preference Certification form (Form 4) issued by Collier County, Florida, in connection with a Request for Proposals for Collection Agency Services issued by the Collier County Board of County Commissioners Procurement Services Division on behalf of the Emergency Medical Services Division. The form requires vendors to affirm their status as local businesses in order to claim local preference consideration during the procurement process. Vendors must certify they maintain a physical business address within Collier County limits from which staff operates, and that the business contributes to the county's economic development in measurable ways, including employment retention and expansion, tax base support, and employee residency within the county. Additionally, vendors must provide a current local Business Tax Receipt (Occupational License) issued by the Collier County Tax Collector prior to bid submission.
The certification form establishes compliance requirements and consequences for misrepresentation of local preference status. Vendors who misrepresent their local preference eligibility lose the privilege to claim such status for up to one year. The county historically has spent approximately $940,000 annually on collection agency services, though this may not be indicative of future spending patterns. The form requires vendors to submit certifications under penalty of perjury, and the county reserves the right to request documentation substantiating the information provided. Failure to provide requested documentation will result in the vendor's submission being deemed non-responsive.
View the file
Other files
Show all 25
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Version 2 9.2.25
Form 4: Local Vendor Preference Certification
(Check Appropriate Boxes Below)
State of Florida (Select County if Vendor is described as a Local Business) Collier County Lee County
Vendor affirms that it is a local business as defined by Section Sixteen of the Collier County Procurement Ordinance:
• A physical business address in Collier County with a County business address as listed with the Florida Department of State, Division of Corporations located within the limits of Collier County from which the vendor's staff operates and performs business in an area zoned for the conduct of such business. A post office box or a facility that receives mail, or a non-permanent structure such as a construction trailer, storage shed, or other non-permanent structure shall not be used to establish the physical address. In addition to the foregoing, a vendor shall not be considered a "local business" unless it contributes to the economic development and well-being of Collier County in a verifiable and measurable way. This may include, but not be limited to, the retention and expansion of employment opportunities, support and increase to the County's tax base, and residency of employees and principals of the business within Collier County. Vendors shall affirm in writing their compliance with the foregoing at the time of submitting their bid or proposal to be eligible for consideration as a "local business" under this section. A vendor who misrepresents the Local Preference status of its firm in a proposal or bid submitted to the County will lose the privilege to claim Local Preference status for a period of up to one year; and
• A current local Business Tax Receipt (also known as an Occupational License) issued by the Collier County Tax Collector prior to bid or proposal submission.
If requested by the County, Vendor will be required to provide documentation substantiating the information given in this certification. Failure to do so will result in the vendor’s submission being deemed non-responsive.
Under penalties of perjury, I certify that the information shown on this form is correct to my knowledge and a duly corporate authorized representative with signature authority.
Company Name: _________________________________________
Date: _____________________________
Signature: ____________________________________________ Title: _____________________________
| Collier County: Off |
| Lee County: Off |
| Company Name_4: |
| Date22_af_date: |
| Title_4: |
File details come from the government source that posted it. Updated .